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RSS APPLICATION (INTERIM)

Please complete this brief application intake form in order to be considered for accreditation. Please note: this application intake form will be used to determine the eligibility of your accredited series. The official application will still need to be submitted once the new application system is made available for RSS applications (anticipated release: January 2021).

The intake form is broken up into 3 parts (Contact & Planning Team, General Series Information, Educational Design Details)

PART 1: CONTACT & PLANNING TEAM
Please be sure to include all involved in planning and development of this series including (coordinators, directors, committee members, etc)

Your Information

Your Name

Title

Email Address

Phone

Course Director (UC San Diego Faculty)

Full Name

Title

Email Address

Additional Planning Faculty (planning committee including title and affiliation)

Survey Completion
0%	Current Progress 0%	100%